首页|内镜下痔套扎术联合透明帽辅助下消痔灵注射术治疗Ⅰ~Ⅲ度内痔的效果

内镜下痔套扎术联合透明帽辅助下消痔灵注射术治疗Ⅰ~Ⅲ度内痔的效果

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目的:分析内镜下痔套扎术联合透明帽辅助下消痔灵注射术治疗Ⅰ~Ⅲ度内痔的效果.方法:选取赣州市中医院肛肠科2022年1月—2023年1月收治的90例Ⅰ~Ⅲ度内痔患者作为研究对象,按照随机数字表法分为试验组(30例)、对照组1(30例)、对照组2(30例),试验组采用内镜下痔套扎术联合透明帽辅助下消痔灵注射术,对照组1采用单纯内镜下痔套扎,对照组2采用肛门镜下内痔结扎术联合消痔灵内痔硬化剂注射术.比较三组症状评分、并发症的发生率、住院时间、复发率.结果:试验组治疗后3、7、14 d的便血、痔核脱出、瘙痒、坠胀、疼痛评分均低于对照组1,差异均有统计学意义(P<0.05).三组的并发症发生率比较,差异无统计学意义(P>0.05).试验组住院时间短于对照组2,差异有统计学意义(P<0.05).试验组复发率低于对照组1,差异有统计学意义(P<0.05).结论:内镜下痔套扎术联合透明帽辅助下消痔灵注射术治疗Ⅰ~Ⅲ度内痔,可改善临床症状,缩短住院时间,降低复发率,且安全性良好.
Effect of Endoscopic Hemorrhoidal Ligation Combined with Transparent Cap Assisted Injection of Xiaozhiling in the Treatment of Grade Ⅰ-Ⅲ Internal Hemorrhoids
Objective:To analyze the effect of endoscopic hemorrhoidal ligation combined with transparent cap assisted injection of Xiaozhiling in the treatment of grade Ⅰ-Ⅲ internal hemorrhoids.Method:A total of 90 patients with grade Ⅰ-Ⅲ internal hemorrhoids admitted to Ganzhou Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected as research objects,and were divided into experimental group (30 cases),control group 1 (30 cases) and control group 2 (30 cases) according to random number table.The experimental group received endoscopic hemorrhoidal ligation combined with transparent cap assisted injection of Xiaozhiling,the control group 1 was treated with simple endoscopic hemorrhoidal ligation,the control group 2 was treated with anoscopic internal hemorrhoidal ligation combined with Xiaozhiling internal hemorrhoidal hardener injection.Symptom score,incidence of complications,length of stay and recurrence rate were compared among the three groups.Result:The scores of hematochezia,hemorrhoidal prolapse,pruritus,distension and pain in the experimental group were lower than those in the control group 1 at 3,7 and 14 days after treatment,the differences were statistically significant (P<0.05).There was no significant difference in the incidence of complications among the three groups (P>0.05).The hospitalization time of experimental group was shorter than that of control group 2,the difference was statistically significant (P<0.05).The recurrence rate of experimental group was lower than that of control group 1,the difference was statistically significant (P<0.05).Conclusion:Endoscopic hemorrhoidal ligation combined with transparent cap assisted injection of Xiaozhiling for the treatment of grade Ⅰ-Ⅲ internal hemorrhoids can improve clinical symptoms,shorten hospital stay,reduce recurrence rate,and have good safety.

Internal hemorrhoidsEndoscopic hemorrhoidal ligationXiaozhiling injection assisted by transparent cap

卢彦、刘歆、王莹、刘琪慧、阳纯平

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赣州市中医院肛肠科 江西 赣州 341000

赣州市肿瘤医院妇瘤科 江西 赣州 341000

内痔 内镜下痔套扎术 透明帽辅助下消痔灵注射术

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(32)